New Pathways, New Connections: Tobacco and Behavioral Health Frances M. Harding, Director SAMHSA’s Center for Substance Abuse Prevention National Conference on Tobacco and Behavioral Health Bethesda, Maryland May 19, 2014
Dec 26, 2015
New Pathways, New Connections:
Tobacco and Behavioral Health
Frances M. Harding, DirectorSAMHSA’s Center for Substance Abuse Prevention
National Conference on Tobacco and Behavioral HealthBethesda, Maryland
May 19, 2014
Creating communities where individuals, families, schools, faith-based organizations, and workplaces take action to:• Promote emotional health• Reduce the likelihood of mental illness, substance abuse including tobacco, and suicide
SAMHSA Strategic Initiative #1:Prevention of Substance Abuse and Mental Illness
SAMHSA’s objectives include: Reduce tobacco use among youth and persons with mental and substance use disorders.
Addressing Tobacco and Behavioral Health
• 480,000 tobacco-related U.S. deaths each year
• People with mental and substance use disorders:– Almost half of all U.S. tobacco deaths– 40 percent of all cigarettes smoked by adults
• People with mental illness:– Tobacco dependence most prevalent drug abuse
disorder
Smoking tobacco causes more deaths among clients in substance abuse treatment than the alcohol or drug use that brings them to treatment.
Collaborating to Address the Behavioral Health Disparity in Tobacco Use
• SAMHSA is working with agencies across the U.S. Department of Health and Human Services through the Working Group on Tobacco Control in Behavioral Health.
The Primary Goal: To promote the implementation of tobacco-free policies and integration of tobacco cessation into treatment in behavioral health settings.
Smoking in Youth: Behavioral Impact
• People who start smoking before the age of 21 have the hardest time quitting.
• About 30 percent of youth smokers will continue smoking and die early from a smoking-related disease.
• Teen smokers are more likely to use alcohol and illegal drugs.
• They are more likely to have panic attacks, anxiety, disorders, and depression.
National Weighted Average Retailer Violation Rate
National Weighted Average Retailer
Violation Rate Since 1997
• Teen cigarette smoking down by half since 2002• Synar program:
– Direct effects on youth smoking– Two-thirds of states: sales rates < 10 percent– Multiple strategies work best– Link Synar effort with the larger tobacco
control arena• Family Smoking Prevention and Tobacco Control Act• HHS tobacco control strategic plan• CDC’s National Tobacco Control Program
Meeting the Challenge of Youth Tobacco Use
The Changing Face of Tobacco Control
• Family Smoking Prevention and Tobacco Control Act – FDA authority to regulate tobacco
(The Center for Tobacco Products)• SAMHSA and FDA meet monthly for
coordination meetings• HHS-wide tobacco control strategic
plan• SAMHSA: integrating tobacco
prevention and cessation in state Substance Abuse Prevention and Treatment Block Grant application
Emerging Issues
Softening of public attitudes
Changes in state and local laws
The Challenge of Integration
Single state
agencies and Synar
State departments of
health and broader
tobacco control efforts
Collaborative Opportunities
Public Health Clinical MedicineSubstance Abuse Mental Health Prevention Treatment
Tobacco Control Resources
www.TheRealCost.gov
FDA Public Education Campaign
Collaboration: Foundation for SuccessCenter for Substance Abuse Prevention
Center for Mental Health Services
Center for Substance Abuse Treatment
Center for Behavioral Health Statistics and Quality
www.samhsa.gov